KELSEY FREDERICK
NPI 1073927562
Optometrist in Chicago, IL
About Kelsey Frederick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY FREDERICK (NPI 1073927562) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046010809) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Frederick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
9Medicare enrollment records show Kelsey Frederick reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairway, KS 66205
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 3 clinicians in this Medicare group
Prairie Village, KS 66208
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Overland Park, KS 66212
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Leawood, KS 66223
- Reassigned Medicare billing, Kansas enrollment
- 16 clinicians in this Medicare group
Overland Park, KS 66213
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Shawnee, KS 66217
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Overland Park, KS 66223
- Reassigned Medicare billing, Kansas enrollment
- 16 clinicians in this Medicare group
Olathe, KS 66062
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Olathe, KS 66062
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60622 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelsey Frederick's NPI number?
The NPI number for Kelsey Frederick is 1073927562. It was assigned to this individual provider in the NPPES registry on June 12, 2014.
Where is Kelsey Frederick located?
Kelsey Frederick practices at 2121 W Division St, Chicago, IL 60622. The listed phone number is (773) 669-7737.
What is Kelsey Frederick's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelsey Frederick enrolled in Medicare?
Yes. Kelsey Frederick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelsey Frederick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Frederick reassigns Medicare benefits to 9 organizations: Fairway Eye Center, Inc (Fairway, KS), Eye Associates Of Prairie Village,pa (Prairie Village, KS), Eye Associates Of North Overland Park (Overland Park, KS), Eye Associates Of Leawood PA (Leawood, KS), Eye Associates Of Overland Park PA (Overland Park, KS) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Frederick accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 17 other insurers list Kelsey Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelsey Frederick was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelsey Frederick · NPI 1073927562
Optometrist provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 12, 2014.
## Identity
- **NPI:** 1073927562 (Entity type: Individual)
- **Enumerated:** June 12, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046010809 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2121 W DIVISION ST, Chicago, IL 60622-2948
- **Phone:** (773) 669-7737
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Fairway Eye Center, Inc (NPI 1194906461, Fairway, KS); Eye Associates Of Prairie Village,pa (NPI 1932466513, Prairie Village, KS); Eye Associates Of North Overland Park (NPI 1932856994, Overland Park, KS); Eye Associates Of Leawood PA (NPI 1043331622, Leawood, KS); Eye Associates Of Overland Park PA (NPI 1316009129, Overland Park, KS); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2014
## Record status
- **NPPES last updated:** June 12, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1073927562) · Data from the CMS NPPES public registry.